Clair Sinnett Acting Workshop Registration Form

Clair Sinnett Acting Workshop Registration Form

Please fill in the form below. One person per form.
Saturday & Sunday October 4th-5th, 2025 Cost is $395 (both days)

10:00 am - 4:00 pm CST (Please make note that Alabama is Central Time Zone) Workshop Location: Hampton Inn Birmingham/Trussville 1940 Edwards Lake Rd. Trussville, AL 35235
Full Name*

First NameLast Name
Parent (If Minor)
Parents Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Age:*
Sex:*

MaleFemale
Emergency Contact*

First NameLast Name
Emergency Contact Phone*

Area CodePhone Number
A minimum $100 non-refundable deposit is required to

hold your spot in the Acting Workshop.
Fill in below to hold your spot for a workshop.

MUST PAY DEPOSIT WHEN REGISTERING

Workshop Deposit is $100 (The remaining balance of $295 must be paid in full before the day of workshop.

Acting Workshop Registration Deposit (Non-refundable) $100.00

Acting Workshop Balance$295.00

Subtotal $0.00Tax $0.00Total $0.00

Signature*

Clear
Release Agreement: As participant or parent / guardian of the above participant, I give my permission for myself or my child (if under 18) to participate in the acting and/or modeling workshop. I agree to indemnify and hold harmless Ambiance Models & Talent, Inc., and its sponsors, instructors and employees against any loss, damage, injury or other conditions arising out of myself or my child’s participation. I understand that all registration fees are non-refundable. Also, in consideration of the potential for additional publicity, I hereby authorize use of my photos, video or television for future use and advertising.
I have read and understand the form in its entirety. By clicking on "yes" and submitting my registration I am signing this form electronically.*

Yes
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Saturday & Sunday October 4th-5th, 2025 Cost is $395 (both days)